Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › WI › MADISON › FAMILIA DENTAL MADISON WEST LLC

FAMILIA DENTAL MADISON WEST LLC

NPI: 1699138297 · MADISON, WI 53719 · Dental Clinic/Center · NPI assigned 03/31/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official TAYLOR, BRANDON controls 20+ related entities in our dataset. Read more

$1.80M
Total Medicaid Paid
109,207
Total Claims
87,163
Beneficiaries
23
Codes Billed
2018-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialTAYLOR, BRANDON (CREDENTIALING & PAYER RELATIONS MGR)
NPI Enumeration Date03/31/2016

Related Entities

Other providers sharing the same authorized official: TAYLOR, BRANDON

ProviderCityStateTotal Paid
FAMILIA DENTAL RACINE LLC RACINE WI $17.95M
FAMILIA DENTAL WEST GREEN BAY GREEN BAY WI $15.05M
FAMILIA DENTAL GREEN BAY EAST LLC GREEN BAY WI $13.16M
FAMILIA DENTAL EVANSVILLE LLC EVANSVILLE IN $9.76M
FAMILIA DENTAL FORT WAYNE PLLC FORT WAYNE IN $8.72M
FAMILIA DENTAL MKEMITCHELL LLC MILWAUKEE WI $8.49M
FAMILIA DENTAL JANESVILLE LLC JANESVILLE WI $5.77M
FAMILIA DENTALCLOVIS LLC CLOVIS NM $5.67M
FAMILIA DENTAL ROS LLC ROSWELL NM $5.59M
FAMILIA DENTAL HOB LLC HOBBS NM $4.89M
FAMILIA DENTAL LAS CRUCES LLC LAS CRUCES NM $4.68M
FAMILIA DENTAL SPFW PLLC FORT WAYNE IN $4.45M
FAMILIA DENTAL ESP LLC ESPANOLA NM $4.13M
FAMILIA DENTAL KENOSHA LLC KENOSHA WI $3.66M
FAMILIA DENTAL INDIANAPOLIS LAFAYETTE, LLC INDIANAPOLIS IN $3.28M
FAMILIA DENTAL INDIANAPOLIS AVONDALE, LLC INDIANAPOLIS IN $2.86M
FAMILIA DENTAL TERRE HAUTE LLC TERRE HAUTE IN $2.75M
FAMILIA DENTAL RIVER GLEN LLC MILWAUKEE WI $2.73M
FAMILIA DENTAL DAVENPORT LLC DAVENPORT IA $2.66M
FAMILIA DENTAL CARLSBAD LLC CARLSBAD NM $2.55M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29,914 $504K
2019 18,783 $320K
2020 18,604 $232K
2021 22,339 $306K
2022 11,131 $239K
2023 8,436 $200K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D1110 Prophylaxis - adult 7,429 6,914 $194K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3,336 2,032 $180K
D0150 Comprehensive oral evaluation - new or established patient 9,440 8,673 $179K
D1351 Sealant - per tooth 9,206 1,328 $146K
D0274 Bitewings - four radiographic images 8,216 7,656 $135K
D1120 Prophylaxis - child 5,705 5,352 $120K
D2391 Resin-based composite - one surface, posterior, primary or permanent 2,966 1,578 $115K
D0220 Intraoral - periapical first radiographic image 14,464 13,246 $107K
D1206 Topical application of fluoride varnish 6,708 6,030 $85K
D0120 Periodic oral evaluation - established patient 5,579 5,310 $85K
D0230 Intraoral - periapical each additional radiographic image 15,699 11,023 $83K
D1208 Topical application of fluoride, excluding varnish 6,422 6,230 $77K
D0140 Limited oral evaluation - problem focused 3,864 3,526 $69K
D0210 Intraoral - complete series of radiographic images 1,223 1,127 $54K
D7140 Extraction, erupted tooth or exposed root 1,321 548 $53K
D0272 Bitewings - two radiographic images 3,388 3,171 $43K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 391 178 $28K
D4355 255 252 $17K
D4346 206 181 $12K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 173 138 $12K
D0270 816 708 $5K
D2330 23 12 $877.78
D1999 2,377 1,950 $0.00